Documentation Specialist Physical Therapy, Chiropractic & Rehabilitation "1 year experience"

Documentation Specialist - Physical Therapy & Rehabilitation Location Houston, TX (NASA / Webster Area) Position Type Full-Time, Part-Time, or Remote (Based on Experience) About Us We are a growing outpatient rehabilitation organization providing Physical Therapy, Chiropractic, Vestibular Rehabilitation, Sports Medicine, and Injury Recovery services throughout the Houston area. Our team is committed to delivering exceptional patient care while maintaining accurate, timely, and compliant medical documentation. Position Summary We are seeking a detail-oriented Medical Documentation Specialist to assist our providers with clinical documentation, medical record management, and EMR data entry. The ideal candidate will possess strong medical terminology knowledge, excellent organizational skills, and experience working with healthcare documentation. This role is critical in ensuring that patient records are complete, accurate, and compliant with insurance, legal, and regulatory requirements. Essential Duties and Responsibilities Prepare, review, and finalize medical documentation for Physical Therapy, Chiropractic, and Rehabilitation services. Assist providers with completion of evaluations, progress notes, re-evaluations, discharge summaries, and treatment documentation. Enter clinical information into the Electronic Medical Record (EMR) system. Review records for completeness, consistency, and compliance. Assist with ICD-10 diagnosis coding verification and documentation support. Track unsigned notes and follow up with providers as needed. Coordinate medical records requests from patients, attorneys, insurance companies, and other healthcare providers. Assist with chart audits and quality assurance reviews. Maintain HIPAA compliance and patient confidentiality. Communicate effectively with clinical, administrative, and billing teams. Support documentation required for insurance authorizations and utilization reviews. Perform other administrative and documentation-related duties as assigned. Qualifications Experience in Physical Therapy, Chiropractic, Orthopedic, Rehabilitation, or Medical Office settings. Knowledge of medical terminology, anatomy, and healthcare documentation. Experience using Electronic Medical Record (EMR) systems. Familiarity with ICD-10 coding and rehabilitation documentation preferred. Strong typing and computer skills. Excellent attention to detail and organizational abilities. Ability to manage multiple tasks and meet deadlines. Career growth and advancement opportunities within our healthcare organization Supportive team environment and mentorship Valuable healthcare experience for students and graduates pursuing careers in Physical Therapy, Occupational Therapy, Physician Assistant, Nursing, Medicine, Healthcare Administration, or related fields Education & Experience High School Diploma or equivalent required. Associate or Bachelor's Degree in Healthcare Administration, Medical Assisting, Health Sciences, Biology, Kinesiology, or related field preferred. Previous experience as a Medical Scribe, Documentation Specialist, Medical Assistant, Medical Records Coordinator, or Healthcare Administrative Professional preferred. Compensation Competitive compensation based on experience. Full-Time, Part-Time, and Remote opportunities available. Performance-based growth opportunities. Benefits (Eligible Positions) Paid Time Off Paid Holidays Flexible Scheduling Professional Development Opportunities Supportive Team Environment International Applicants Visa sponsorship opportunities may be available for highly qualified candidates. H-1B transfer candidates are encouraged to apply where eligible. Equal Opportunity Employer We are committed to creating an inclusive workplace and welcome applicants from diverse backgrounds and experiences.

Pay:

$18.00 per hour

Benefits:

Flexible schedule

Work Location:

Hybrid remote in Houston, TX 77058